YAISHWARYAJ: Health Awareness - www.keralaservices.com

From: Anna Mariya <annamariya98@gmail.com>

www.keralaservices.com - Patient Welfare Association

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GLUCOSE
Glucose: This is the chief source of energy for all living organisms. A level greater than 105 in
someone who has fasted for 12 hours suggests a diabetic tendency. If this level is elevated even in a non-fasting setting one must be concerned that there is a risk for developing diabetes. This is an incredibly powerful test and can predict diabetes ten years or more before one develops the strict definition of diabetes which is levels greater than 120.
Common Causes of Glucose Increase: Diabetes, poor carbohydrate utilization, syndrome X
Less Common Causes of Glucose Increase: Cerebral lesions, uremia, pregnancy, intracranial pressure, cushing's disease, hyperthyroidism, chronic nephritis, infections, first 24 hours after a severe burn, pancreatitis, cerebral lesions, uremia, early hyperpituitarism
Common Causes of Glucose Decrease: Fasting Hypoglycemia
Clinical Note: LDH will frequently be decreased or in the low normal with Fasting Hypoglycemia, however, LDH will almost ALWAYS be decreased with Reactive Hypoglycemia
Less Common Causes of Glucose Decrease: liver damage, pancreatic adenoma, addison's disease (adrenal insufficiency), starvation, late hypopituitarism Carcinoma of islet tissue
Clinical Adult Range: 70-115 mg/dL
Optimal Adult Range: 85-100 mg/dL
Red Flag Range <50 or >250 mg/dL
Clinical Notes: Order Glycohemoglobin (HGB A1C) with serum glucose values above 160 and to monitor diabetics under therapy
Nutrition Tip: Thiamine Deficiency has been linked to increase in glucose levels

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